Provider Demographics
NPI:1285881656
Name:CARDIOTECH MONITORING SYSTEMS LLC
Entity type:Organization
Organization Name:CARDIOTECH MONITORING SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:WOLLMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-354-8641
Mailing Address - Street 1:PO BOX 829
Mailing Address - Street 2:
Mailing Address - City:LYNDEN
Mailing Address - State:WA
Mailing Address - Zip Code:98264-0829
Mailing Address - Country:US
Mailing Address - Phone:360-354-8641
Mailing Address - Fax:360-354-8649
Practice Address - Street 1:1713 N CASCADE WAY
Practice Address - Street 2:
Practice Address - City:LYNDEN
Practice Address - State:WA
Practice Address - Zip Code:98264-1084
Practice Address - Country:US
Practice Address - Phone:360-354-8641
Practice Address - Fax:360-354-8649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-27
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, CardiologyGroup - Single Specialty